| Regimental number | 2484 |
| Religion | Church of England |
| Occupation | Porter |
| Address | Francis Street, Yea, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs C Bloome, Francis Street, Yea, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/25/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Miscellaneous details (Nominal Roll) | crossed out on N.R. |